Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $969.00 / $3,596.00 / $10,836.00	Facility		$969.00	$3,596.00	$10,836.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,583.70 / $1,829.15 / $2,189.76	Professional		$1,583.70	$1,829.15	$2,189.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,477.75 / $1,877.53 / $2,592.46	Professional		$1,477.75	$1,877.53	$2,592.46
Christus Facility/Professional Facility Modifier Low / Median / High Price $1,480.38 / $1,480.38 / $1,480.38	Facility		$1,480.38	$1,480.38	$1,480.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,697.69 / $2,278.82 / $3,595.60	Professional		$1,697.69	$2,278.82	$3,595.60
Lucent Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $28,954.72	Facility		$55.00	$55.00	$28,954.72
Lucent Health Facility/Professional Professional Modifier Low / Median / High Price $16,656.09 / $16,656.09 / $16,656.09	Professional		$16,656.09	$16,656.09	$16,656.09
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $1,620.80 / $2,077.54 / $3,755.22	Facility		$1,620.80	$2,077.54	$3,755.22
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $2,046.59 / $2,361.44 / $2,755.03	Professional		$2,046.59	$2,361.44	$2,755.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,719.07 / $2,689.32 / $5,885.75	Professional		$1,719.07	$2,689.32	$5,885.75
Providence Facility/Professional Facility Modifier Low / Median / High Price $1,620.80 / $2,111.11 / $4,495.17	Facility		$1,620.80	$2,111.11	$4,495.17
Providence Facility/Professional Professional Modifier Low / Median / High Price $1,697.69 / $2,317.05 / $3,979.03	Professional		$1,697.69	$2,317.05	$3,979.03
United Facility/Professional Facility Modifier Low / Median / High Price $385.00 / $2,064.00 / $8,759.00	Facility		$385.00	$2,064.00	$8,759.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,406.02 / $1,914.26 / $2,958.41	Professional		$1,406.02	$1,914.26	$2,958.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $1,343.62 / $1,543.62 / $2,099.75	Professional		$1,343.62	$1,543.62	$2,099.75